Provider Demographics
NPI:1508976861
Name:JONES, REBECCA LEE (PHARMD, BCPP)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:LEE
Last Name:JONES
Suffix:
Gender:
Credentials:PHARMD, BCPP
Other - Prefix:DR
Other - First Name:REBECCA
Other - Middle Name:LEE
Other - Last Name:SEAMANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD, BCPP
Mailing Address - Street 1:5838 METRO WAY SW
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49519-9619
Mailing Address - Country:US
Mailing Address - Phone:616-249-5300
Mailing Address - Fax:
Practice Address - Street 1:5838 METRO WAY SW
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49519-9619
Practice Address - Country:US
Practice Address - Phone:616-249-5300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53020404441835P0018X, 1835P0018X
SC100741835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatric